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NPI Code Detail

MEDICARE: CHRISTINA BERRY

MEDICARE: CHRISTINA BERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant006762OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952865230
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA BERRY
Provider Business Mailing Address
First Line : 101 S ELM ST
Second Line :
City : FARMERSVILLE
State : OH
Zip : 45325-1124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 264 WILMINGTON AVE
Second Line :
City : DAYTON
State : OH
Zip : 45420-1989
Country : US
Telephone Number : 937-256-4662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2019
Last Update Date : 01/30/2019

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Directions to “ CHRISTINA BERRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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